Can These Healthy Lifestyle Changes Prevent Stroke?
This study also assessed how risk factors vary between stroke subtype, throughout the world, and according to age or sex.
Overall, it was established that over 90% of the worldwide risk of stroke can be attributed to only ten risk factors: hypertension, low physical activity, high apolipoprotein (Apo)B/ApoA1 ratio (predictor of coronary heart disease risk), diet, abdominal obesity, psychosocial factors, current smoking, cardiac causes, alcohol consumption, and diabetes. Of these, hypertension was identified as the most important risk factor for stroke.
Some risk factors were shown to be predominantly associated with a subt...
Source: World of Psychology - January 24, 2017 Category: Psychiatry & Psychology Authors: Psych Central Staff Tags: Brain and Behavior Brain Blogger Exercise & Fitness Health-related Publishers Research Self-Help Healthy Lifestyle Changes risk factors for stroke Sara Adaes PhD stroke prevention Source Type: blogs
The Soto Saline Sign for Pseudoseizures
Conversion reactions are commonly seen conditions in health care and come in various forms and presentations. Two common conversion reactions seen in the emergency department are conversion coma and psychogenic nonepileptic seizures (PNES). Both mimic life-threatening conditions and require rapid differentiation. Premature anchoring and wrong diagnoses can result in potentially harmful outcomes or expensive and unnecessary procedures, workups, and evaluations.Conversion disorder, or functional neurological symptom disorder, is categorized under the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, (...
Source: M2E Too! Mellick's Multimedia EduBlog - January 4, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
The Soto Saline Sign for Pseudoseizures
Conversion reactions are commonly seen conditions in health care and come in various forms and presentations. Two common conversion reactions seen in the emergency department are conversion coma and psychogenic nonepileptic seizures (PNES). Both mimic life-threatening conditions and require rapid differentiation. Premature anchoring and wrong diagnoses can result in potentially harmful outcomes or expensive and unnecessary procedures, workups, and evaluations.Conversion disorder, or functional neurological symptom disorder, is categorized under the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, (...
Source: M2E Too! Mellick's Multimedia EduBlog - January 4, 2017 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Notes to myself – 2
Pentobarb coma – BIS should be 10-20 and SR (suppression ratio) should be 70-80
Consider lev albuterol
Should give vaccines after coiling of spleen or before if possible
No calcium channel blockers post MI definitely and post op in general
Toradol inhibits spine healing
Don’t do endoscopes with patients in supine position
don’t ambulate patients with known dvt’s. wait 2-3 days until clots get stuck.
dvt’s even with filter get heparin as much as possible for post phlebitic syndrome and to retard new clot formation
diffuse alveolar hemorrhage – secondary to chemo, goodpasture’s, wege...
Source: Inside Surgery - December 31, 2016 Category: Surgery Authors: Editor Tags: General Source Type: blogs
Quiz on statins
Short quiz on statins
Quiz on statins
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Question 1
Which of the following should not be combined with statin?
AFenofibrateBEz...
Source: Cardiophile MD - December 26, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
New Findings on Delayed Cord Clamping
Delayed cord clamping refers to when the umbilical cord is not clamped or cut until after pulsations have ceased, or until after the placenta is delivered.
Previously, doctors cut the umbilical cord and encouraged others to do so immediately after birth, thinking it reduced the risk of maternal hemorrhage.
Just this week The American College of Obstetricians and Gynecologist (ACOG) issued new guidelines recommending that “doctors and midwives hold off on clamping all healthy newborns’ cords for at least 30 to 60 seconds.”
Research found waiting a minute or two, especially in pre-term babies can “cut their risk of...
Source: Cord Blood News - December 22, 2016 Category: Perinatology & Neonatology Authors: Maze Cord Blood Tags: babies Cord Blood pregnancy delayed cord clamping Source Type: blogs
Quiz on pulmonary embolism
Short quiz on pulmonary embolism
Quiz on pulmonary embolism
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Question 1Risk of intracranial bleed for tenecteplase in a...
Source: Cardiophile MD - December 11, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Predisposition to statin adverse effects – Cardiology MCQ
Condition/s which predispose/s to statin adverse effects:
a) Impaired renal or hepatic function
b) History of previous statin intolerance or muscle disorders
c) Unexplained elevation of SGPT
d) All of the above
Correct answer: d) All of the above
In addition to these, age above 75 years, Asian anscestry and previous hemorrhagic stroke are potential conditions to considered while considering high intensity statin therapy with regard to predisposition for adverse effects. Concomitant usage of drugs likely to affect statin metabolism should also be considered. (Source: Cardiophile MD)
Source: Cardiophile MD - December 9, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
An Interview with Gene Saragnese, Chairman & CEO of MedyMatch Technology
MedyMatch Technology, a company based in Tel Aviv, Israel, leverages artificial intelligence, deep learning, and computer vision technologies to offer patient-specific clinical decision support. Their application helps radiologists and emergency room physicians to detect signs of intracranial hemorrhages, which are difficult to diagnose by standard analysis of imaging data alone. The Medgadget team recently had an opportunity to speak with Gene Saragnese, Chairman and Chief Executive Officer of MedyMatch, to discuss their technology and its significance in depth.
Prior to joining MedyMatch in January of 2016, Gene was th...
Source: Medgadget - December 9, 2016 Category: Medical Equipment Authors: Zach Kaufman Tags: Diagnostics Emergency Medicine Exclusive Neurology Source Type: blogs
MOC Exam Topic: Acute Hemorrhagic Leukoencephalopathy
First recognized as a discrete entity by Weston Hurst in 1941, acute hemorrhagic leukoencephalopathy (AHL) is a usually fatal disease characterized clinically by an abrupt onset of fever, neck stiffness, and neurological deficits, often progressing rapidly to seizures and coma. The presenting clinical picture is similar to that of acute disseminated encephalomyelitis (ADEM) but with a more fulminant course. At autopsy, the brain is swollen with multiple petechial hemorrhages centered in the white matter. Large foci of necrosis with cavitation may be present. The cerebral cortex and basal ganglia usually appear intact. Hist...
Source: neuropathology blog - November 22, 2016 Category: Radiology Tags: autoimmune MOC Source Type: blogs
Funtabulously Frivolous Friday Five 160
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 160
Question 1
You are on expedition in Greenland and fall off your dog sleigh at speed. Unfortunately you’ve sustained your first ever dislocated shoulder, you think “when in Rome, why not try the eskimo method for relocation”. What will this involve?
+ Reveal the Funtabulous Answer
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Eskimo Technique...
Source: Life in the Fast Lane - September 30, 2016 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five ACHOO autosomal dominant compelling helio-ophthalmic outburst berlin's oedema Buffalo chest Coccyx commotio retinae cuckoo eskimo technique Shoulder dislocation Source Type: blogs
CAP16 Abstract Highlights - Naegleria fowleri: Understanding the Clinical Presentation and Autopsy Findings of a Rare and Almost Universally Fatal Central Nervous System Infection
The 2016 annual meeting of the College of American Pathlologists (CAP16) is coming up September 25-28 in Las Vegas. In this series of posts, I ' ll be featuring poster abstracts of particular interest to neuropathologists.Alexander T. Damron and colleagues atBaylor College of Medicine in Houston discussNaegleria fowleriCNS infection in Poster #114:Naegleria fowleri is a free-living ameba known to cause primary amebic meningoencephalitis (PAM). Moreover, PAM is an acute, fulminating, and hemorrhagic infection that occurs in healthy young children with fresh water exposure in warm climates. It is postulated&nb...
Source: neuropathology blog - September 17, 2016 Category: Radiology Tags: CAP16 abstracts infectious disease Source Type: blogs
LITFL Review 248
Welcome to the 248th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chuck of FOAM.
The Most Fair Dinkum Ripper Beauts of the Week
Susan Wilcox drops some serious knowledge on pulmonary hypertension and clapped-out right ventricles on EMCrit Podcast. Brilliant guest with excellent clinical applications. [JS]
Anatomy is back, Andy Neill returns with more of the superb Emergen...
Source: Life in the Fast Lane - September 11, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
Risk of intracraial bleed for tenecteplase – Cardiology MCQ
Risk of intracraial bleed for tenecteplase in acute pulmonary embolism:
a) 2%
b) 5%
c) 10%
d) 15%
Correct answer: a) 2%
The incidence hemorrhagic stroke after thrombolysis of acute pulmonary embolism with tenecteplase was 2% while it was only 0.2% in those given heparin alone. But there was a significant reduction in all cause mortality / hemodynamic collapse in the tenecteplase treated group. Hence tenecteplase can be considered in all with hypotension and as rescue treatment in those with evidence of right ventricular dysfunction and myocardial injury. (Source: Cardiophile MD)
Source: Cardiophile MD - September 3, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Research and Reviews in the Fastlane 148
Welcome to the 148th edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature.
This edition contains 6 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Soren Rudolph, Justin Morgenstern and, of course, Chris Nickson. Find more R&R in the Fastlane reviews in the R&R Archive, read more about the R&R project or check o...
Source: Life in the Fast Lane - August 24, 2016 Category: Emergency Medicine Authors: Justin Morgenstern Tags: Education Emergency Medicine Infectious Disease Neurosurgery R&R in the FASTLANE EBM literature recommendations research and reviews Source Type: blogs
